| NPI | 1467889394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CREED LOUIS CARDON Owner 918-872-7140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OK 6527) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |